28111Federal University of Bahia, Salvador, Brazil.
67836Feira de Santana State University, Feira de Santana, Brazil.
Inquiry. 2022 Jan-Dec;59:469580211064105. doi: 10.1177/00469580211064105.
Intimate Partner Violence (IPV) is a recurring phenomenon in society and can have important repercussions for the lives and health of women worldwide. Even in this alarming global scenario, many health workers still have difficulties approaching IPV with women and providing care for the victims of this type of violence. Given this context, this qualitative study aims at understanding how primary health care professionals provide care for women victims of violence by intimate partners. In view of the methodology design proposed in the Grounded Theory, data collection took place through theoretical sampling. Data collection was carried out in 22 institutions offering primary health care, with 31 female workers from different professional categories being interviewed individually and in depth, including physicians, nurses, dentists, psychologists, and social workers. The results show that, in order to overcome the difficulties encountered in caring for victims of IPV, primary health care workers have been developing strategies for the care of these women. These strategies include identification of such cases through questions about the woman's intimate relationship, by establishing a bond with the victim so that she feels welcomed, and through articulation with other team professionals to propose expanded health care. The interventions carried out by these professionals include meeting the demands of women in the health institution where they work, referral to other services in the network, if necessary, and notification of IPV cases to epidemiological surveillance. Based on this understanding of the care offered by the professionals to women who are victims of IPV in primary health care, the research aims at contributing to the sensitization of professionals working in health institutions regarding the identification of signs that raise suspicion of IPV, as well as at addressing such cases in a way to fully meet these women's needs.
亲密伴侣暴力（IPV）是社会中反复出现的现象，可能对全球女性的生活和健康产生重要影响。即使在这种令人震惊的全球情况下，许多卫生工作者在与女性接触和为这类暴力的受害者提供护理方面仍然存在困难。鉴于这种情况，这项定性研究旨在了解初级保健专业人员如何为受亲密伴侣暴力侵害的妇女提供护理。鉴于扎根理论提出的方法设计，通过理论抽样进行了数据收集。数据收集在 22 个提供初级保健的机构中进行，对来自不同专业类别的 31 名女性工作人员进行了单独和深入的访谈，包括医生、护士、牙医、心理学家和社会工作者。结果表明，为了克服在照顾亲密伴侣暴力受害者方面遇到的困难，初级保健工作者一直在制定照顾这些妇女的策略。这些策略包括通过询问妇女的亲密关系来识别此类病例，通过与受害者建立联系使她感到受欢迎，并通过与其他团队专业人员合作来提出扩大医疗保健。这些专业人员开展的干预措施包括满足妇女在工作场所的卫生机构的需求，必要时转介给网络中的其他服务，并将亲密伴侣暴力案件通知流行病学监测。基于对初级保健中受亲密伴侣暴力侵害的妇女提供的护理的这种理解，该研究旨在促使卫生机构的专业人员提高对识别疑似亲密伴侣暴力迹象的敏感性，并以充分满足这些妇女需求的方式处理这些案件。
